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. Author manuscript; available in PMC: 2015 Dec 29.
Published in final edited form as: Pediatr Blood Cancer. 2013 Oct 24;61(4):664–671. doi: 10.1002/pbc.24825

Fig. 2.

Fig. 2

Diagnostic algorithm for precocious puberty, including malignancy as an underlying cause. AFP, alpha-fetoprotein; BHCG, beta-human chorionic gonadotropin; CAH, congenital adrenal hyperplasia; CNS, central nervous system; CPP, central precocious puberty; DHEA-S, dehydroepiandrosterone; E&M, evaluation and management; GnRH, gonadotropin–releasing hormone; H&P, history and physical examination; LH/FSH, luteinizing hormone and follicle stimulating hormone; MAS, McCune Albright syndrome; PP, precocious puberty.